A 12-year-old female is seen in the clinic for a chief complaint ...

[itsmyluck]

A 12-year-old female is seen in the clinic for a chief complaint of in-toeing and being teased at school for the last six months. She had been seen as a toddler who W sat, and the doctor told her parents that she would outgrow this.
 
  However, she is still in-toeing a lot. The mom is concerned that she will grow up and not be able to wear high heels or walk down the stairs without tripping and falling. Your knowledge about femoral anteversion leads you to state which of the following? 1. She will outgrow this by the time she is 20 years old..
   2. She will not outgrow this now. It usually resolves by the time children are 8 or 9 years of age, so only surgery will correct this now..
   3. She will never be able to play running sports..
   4. She should try gymnastics since she is so flexible..

Question 2

Parents have been given the news that their unborn baby will be born with Tetralogy of Fallot. The parents are asking the nurse what the defects will consist of with this diagnosis. The nurse knows the defects are: (Select all that apply.)
 
  1. VSD
   2. Pulmonary stenosis
   3. Overriding aorta
   4. Thickening of the left ventricle
   5. Patent Foramen Ovale

[Chou]

Answer to Question 1

2
Feedback
1. The child should outgrow this by the time they are 8 or 9 years old.
2. Hallmark signs of femoral anteversion are unresolved in-toeing, ligament laxity, history of tripping and falling, and W-sitting..
3. She will be able to run and play sports.
4. She will be able to participate in sports.

Answer to Question 2

1, 2, 3
Feedback
1. Present in Tetralogy of Fallot
2. Present in Tetralogy of Fallot
3. Present in Tetralogy of Fallot
4. Thickening of the right ventricle occurs because of the restrictive blood flow.
5. The patent foramen ovale is not present in Tetralogy of Fallot.

[itsmyluck]

Excellent

[ttt030911]

Gracias!